Integrated Care Team GPNHS

Job summary

Shore Medical is seeking an enthusiastic and compassionate Integrated Care Team GP to support our housebound and care-home population.

The post holder will provide proactive, coordinated care to patients with complex health needs, frailty and long-term conditions, working alongside the wider health and social care team. The role will focus on improving patient outcomes, reducing avoidable hospital admissions and supporting patients to remain safely in their usual place of residence.

We are looking for a GP who enjoys collaborative working and is committed to delivering high-quality, patient-centred care.

Main duties of the job

• Provide comprehensive, person-centred GP care to housebound and care-home patients with frailty, multimorbidity and complex health needs.
• Undertake proactive assessment, diagnosis, treatment, medication reviews and personalised care planning.
• Work collaboratively with the multidisciplinary team, care homes, patients, families and carers to coordinate care and support safe transitions between services.
• Identify patients at risk of deterioration, support anticipatory and end-of-life care, and reduce avoidable hospital admissions.
• Contribute to population health, preventative care, quality improvement and proactive management of the PCN's housebound and care-home population.

Job description

• Provide comprehensive, person-centred GP care to a defined cohort of housebound and care-home patients.
• Hold a weighted lost of approximately 130 patients per session, with appropriate prioritisation according to clinical need and complexity.
• Undertake proactive reviews of patients with frailty, multimorbidity and complex health needs.
• Provide face-to-face and remote clinical consultations as clinically appropriate.
• Assess, diagnose and manage acute and chronic medical conditions.

Please refer to the full Job Description for a comprehensive overview of the role and responsibilities.

About us

Shore Medical is a GP Super Partnership with 6 practices across Poole and Bournemouth. We aspire to offer exceptional care to our 58,000 patients and are innovative in our approach to developing new teams and pathways to ever improve how general practice is delivered.

We have a friendly and supportive team of more than 200 staff, with over 40 GPs, Pharmacists, Paramedics, Nurses, Mental Health specialists and our range of administrative staff. We have a great social side to our team with Summer and Christmas parties, running and paddle boarding groups as well as many other events throughout the year.

The Practices in the Partnership are:

• Lilliput Surgery
• Poole Road Medical Centre
• Wessex Road Surgery
• Heatherview Medical Centre
• Fernside Surgery
• Parkstone Tower Practice

We offer

• Competitive salary
• Friendly and supportive working environment
• Continuous CPD
• NHS Pension Scheme with Life Insurance
• Free parking at most of the sites
• Cycle to work scheme
• Refer a Friend scheme
• Summer & Christmas parties